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General NPI Number Information
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NPI Number | 1457936221
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Entity Type | Organization
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Legal Business Name | ZINADUM LLC
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Dates
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Enumeration Date | 03/13/2021
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1603 ORRINGTON AVE STE 600 ROOM 608
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City | EVANSTON
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State | IL
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Zip | 60201-3860
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Country | US
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Telephone | 847-563-2343
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Fax |
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Provider Business Mailing Address
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Address Line | 1339 W LUNT AVE APT G5
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City | CHICAGO
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State | IL
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Zip | 60626-3061
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Country | US
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Telephone | 773-297-4697
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BLESSING J. WIWA
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Credential | MD
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Telephone | 847-563-2343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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